Istam Mazal Fuzailov

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

11241 Queens Blvd
Forest Hills, NY 11375-7475

Phone

(929) 386-0244

NPI assigned

Nov 1, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1760959241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11241 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11241 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757475",
            "telephone_number": "929-386-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUZAILOV",
        "first_name": "ISTAM MAZAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harjianne Dei Fundal
• Andrew Fundo, D.M.D.
• Livia Futterman, PA-C
• Future Care Registered Professional Nursing PLLC
• Frida Fuzailov
• Gavriel Fuzaylov, MD
• Liora Fuzaylov
• Natalie Fuzaylov, MS OTR/L
• Tamara Fuzaylova, PA
• G N P Inc.

• Occupational Therapist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.